The treatment of severe injuries of major jugular vessels with a report of 15 cases
- VernacularTitle:颈部血管严重损伤15例的治疗
- Author:
Ming QU
;
Tianjun JIANG
;
Yongshan YU
;
Yingdong DU
;
Weiguo ZHANG
- Publication Type:Journal Article
- Keywords:
Vascular diseases;
Wounds and injuries;
Vascular surgical procedures
- From:
Chinese Journal of General Surgery
2000;0(12):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review the experience in managing severe major jugular vascular injuries. Methods Fifteen cases (11 men and 4 women, aged 18～49 years) treated by operation were collected. The injuried vessels included common carotid artery, internal carotid artery, subclavian artery and accompanying veins, carotid reconstruction was performed by jugular vein transplantation and followed by wrapping with PTFE artificial blood vessel in 15 cases. Result All the fifteen patients were cured and the vasculars were well-functioning 3～12 weeks after the surgery. Conclusion The mortality of severe large cervical vascular injuries is very high because of acute bleeding, cerebral ischimia and suffocation. In managing this catastrophe, keeping the airway clear and stop bleeding effectively are fundamental. Good knowledge and expertise in vascular and microvascular surgery are mandatory for the success of the procedure.
